- Raymond James Financial, Inc. (St. Petersburg, FL)
- …database specifications, ensuring all agreed standards and protocols are followed and data integrity is preserved. + Install and test the most complex databases ... use and meet customer requirements. + Design and select business-critical storage, data center, and client/server environments to design solutions in line with… more
- CVS Health (Tallahassee, FL)
- …Summary** + Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes that are submitted ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** + Computer proficiency including experience… more
- Centene Corporation (Spring Hill, FL)
- …review or quality improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff OR 2 years ... CPT coding in accordance with NCQA requirements. + Collects, summarizes and trends provider performance data to identify and strategize opportunities for … more
- Molina Healthcare (FL)
- …leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …and hospital operations. Assists in identification and selection of methods that will provide standardized work and assure the proper application of standards set by ... JC, CLIA, and CAP. Incumbentwill develop, select, and practice techniques that provide for efficient and effective processes as directed. Works within the laboratory… more
- ChenMed (North Lauderdale, FL)
- …doctors and other medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare to all patients. **ESSENTIAL JOB ... Checklist. + Communicates alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and follows up… more
- Molina Healthcare (Tampa, FL)
- …identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make ... coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- AdventHealth (Tampa, FL)
- …AHMG and other practice entities. . Provide oversight and guidance to the provider data and credentialing team to ensure all timelines, accuracy of data ... . Credentialing Implement follow-up/quality improvement programs that focus on provider onboarding, data collection, processing, and payer...and work processes are met. Lead the credentialing and data teams and provide management in a… more
- Molina Healthcare (St. Petersburg, FL)
- …+ Serves as a thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners ... with Network to communicate recovery projects so that provider relations can be informed and respond to questions...the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing,… more
- CenterWell (Port Saint Lucie, FL)
- …Practitioner (NP) works in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team ... advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows… more